Thank you for contacting the Health at Hand team.
We know that it must be very distressing to see your hair falling out on a daily basis. It can affect your confidence and you may feel that it will never stop.
As you may know alopecia is the medical term for hair loss.
The manufacture literature (SmPC) indicates that alopecia is an uncommon side effect of the Mirena coil. This means that 0.1 to 1% of people have reported hair loss.
However your hair loss may not be due to the use of the Mirena coil.
Your hair goes through 3 different phases
At the end of this phase the older hair is shed and the new hair begins to grow. Your head is covered which hair in different phases so normally there is no visible bald patch.
It is normal to shed 50 to 100 strands of hair on a daily basis.
The likely causes of hair loss in women There are many factors that cause excessive hair loss. This can include
It may be worth asking your GP to refer you to a dermatologist. In the meantime you may want to try using Ketoconazole shampoo. Your itchy scalp may be due to a fungal infection.
Ketoconazole is an anti-fungal shampoo that you can buy over the counter or have it prescribed by your GP. We think it would be make sense for you to discuss this matter with your GP before you use this shampoo.
We understand that your thyroid levels and iron levels have been checked. If your doctor is not able to check your zinc levels you may wish to try vitamins that help with maintain good hair, skin and nails. There are several on the market and they are available from your local pharmacy. You do not mention if you are using the Mirena coil as a method of contraception and what other contraceptives you have tried or find acceptable. The mirena coil releases a progesterone hormone called Levonorgestrel. Now that you are aware that hair loss is an uncommon side effect of the Mirena coil and many other oral contraceptives may be able to persuade your doctor to try an alternative oral contraceptive such as Femodene, Logynon or Co-Cyprindol.
Regaine for men and women is available on the market available to buy from pharmacies. It contains Minoxidil as the active ingredient. It is suitable for some types of hair loss. Your dermatologist will be able to guide you. It is available as foam in 2.5% and 5% and has to be applied on the scalp twice daily. A lot of people have had success with this medication, although it can take 3-6months for the hair to regrow. However the hair that comes through tends to be coarser than the original natural hair. Any new hair growth will fall out 6-9months after you stop using it.
You may find the following web links useful:
Please do not hesitate to contact us if you need any further information.
Answered by the Health at Hand nurses
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